The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
The right ventricle then pumps the blood back out of the heart into the lungs to be replenished with oxygen. Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side.
Some of the signs and symptoms of heart failure may be easy to miss or to blame on other simpler issues. 1  They include: 2  Feeling tired more often and with less exercise. 3  Experiencing shortness of breath with less and less exertion. 4  Unexplained weight gain â especially the appearance of being bloated, this is called edema.